<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">评价模板id</label>
            <div class="layui-input-block">
                <input type="text" name="template_id" class="layui-input"  placeholder="请输入评价模板id" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">会员ID</label>
            <div class="layui-input-block">
                <input type="text" name="users_id" class="layui-input"  placeholder="请输入会员ID" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">联系电话</label>
            <div class="layui-input-block">
                <input type="text" name="tel" class="layui-input"  placeholder="请输入联系电话" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">评价内容</label>
            <div class="layui-input-block">
                <textarea name="content" rows="20" class="layui-textarea editor" 评价内容 placeholder="请输入评价内容"></textarea>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">五星评价</label>
            <div class="layui-input-block">
                <input type="text" name="scores" class="layui-input"  placeholder="请输入五星评价" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label required">图片/视频</label>
            <div class="layui-input-block layuimini-upload">
                <input name="images" class="layui-input layui-col-xs6"   placeholder="请上传图片/视频" value="">
                <div class="layuimini-upload-btn">
                    <span><a class="layui-btn" data-upload="images" data-upload-number="one" data-upload-exts="png|jpg|ico|jpeg" data-upload-icon="image"><i class="fa fa-upload"></i> 上传</a></span>
                    <span><a class="layui-btn layui-btn-normal" id="select_images" data-upload-select="images" data-upload-number="one" data-upload-mimetype="image/*"><i class="fa fa-list"></i> 选择</a></span>
                </div>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否匿名(1:是,2:否)</label>
            <div class="layui-input-block">
                <input type="text" name="isanonymous" class="layui-input"  placeholder="请输入是否匿名(1:是,2:否)" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">所属管理员</label>
            <div class="layui-input-block">
                <input type="text" name="admin_id" class="layui-input"  placeholder="请输入所属管理员" value="">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>